Evidence map›Paper›PMID 40425977›Full record

ArticleJournal of racial and ethnic health disparities2026

Measuring the Impact of Data Quality and Computable Phenotypes on Potential Racial Disparities in Predicting Healthcare Utilization Among Type 2 Diabetes Populations.

Priyanka D Sood, Star Liu, Chintan Pandya, Rita R Kalyani, Harold P Lehmann, Hadi Kharrazi

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Priyanka D SoodJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Star LiuJohns Hopkins School of Medicine, Baltimore, MD, USA.
Chintan PandyaJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Rita R KalyaniJohns Hopkins School of Medicine, Baltimore, MD, USA.
Harold P LehmannJohns Hopkins School of Medicine, Baltimore, MD, USA.
Hadi KharraziJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. kharrazi@jhu.edu.ORCID 0000-0003-1481-4323

Funding

Johns Hopkins Training Program in Biomedical Informatics and Data ScienceT15LM013979 · NLM · JOHNS HOPKINS UNIVERSITY · PI CHRISTOPHER G CHUTE, Hadi Kharrazi · 2022 to 2026
$2.2M
NLM NIH HHS T15 LM013979
6 · The paper itself

Abstract

introductionType 2 diabetes (T2D) computable phenotypes identify different denominator populations for downstream tasks. Differences in racial composition could introduce bias and lead to disparate disease management. The objective of this study was to assess potential racial disparities in predicting T2D healthcare utilization introduced by data quality and computable phenotypes.

methodsFour published and one local T2D phenotypes were applied to the EHR and claims datasets of a large academic medical center. Population characteristics were compared across phenotypes, stratified by race. We induced data incompleteness, inaccuracy, and untimeliness to measure the impact on denominator racial composition. We trained logistic classification models on each of the phenotype-specific populations separately and compared disparities in utilization prediction (i.e., inpatients (IP) and emergency room (ER) admissions). Model performance, such as mean AUC and positive/negative predictive values, were compared across phenotypes, stratified by race.

resultsDifferent T2D computable phenotypes identified populations with modestly different racial compositions. Black T2D patients had the highest average admissions to ER compared to other racial groups. Induced data quality challenges diminished patient counts across all racial groups proportionally. Charlson comorbidity score had the highest odds ratio in predicting IP and ER admissions across phenotypes and race groups. Specific T2D phenotypes showed the highest and lowest mean AUCs in predicting IP and ER admissions in Black and White populations; however, such results were not observed among Asian/Other populations.

conclusionUtilization prediction differed among phenotypes and race groups. Understanding the complexities behind phenotypes, data quality, and predictive models could mitigate health disparity further downstream and inform clinical research and disease management.

Indexed as

Diabetes Mellitus, Type 2Healthcare DisparitiesPatient Acceptance of Health CareRacial GroupsAgedBlack or African AmericanElectronic Health RecordsEmergency Room VisitsFemaleHumansMaleMiddle AgedPhenotypeWhiteComputable phenotypeData qualityElectronic health recordsHealthcare utilizationRacial disparityType 2 diabetes

Identifiers

PMID40425977
PMCPMC13167075

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.